Abstract
Children with mental health and substance use disorders treated in routine care experience worse outcomes than patients enrolled in clinical trials that have demonstrated the effectiveness of evidence-based treatments. This wide gap between routine outcomes and optimal outcomes spans across a wide range of patient populations and clinical treatment settings. One of the contributors to poor outcomes in routine care is that providers do not regularly use symptom rating scales in behavioral health to determine quantitatively whether their patients are improving. Almost all randomized controlled trials with frequent and timely feedback of diagnostic-specific, patient-reported symptom severity to the provider during the clinical encounter found that outcomes were significantly improved compared to usual care across a wide variety of mental health and behavioral disorders. All pediatric and behavioral healthcare providers treating children with mental health and substance use disorders should implement a system whereby patients’ routinely complete measurement-based care (MBC) validated symptom rating scales that are reviewed by clinicians during encounters. MBC will help pediatric providers determine whether treatment is working or if there is a need to facilitate treatment augmentation, consultations, or referrals for higher-intensity services when patients are not improving.
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Simon, K.M., Wrenn, G.L. (2018). Measurement-Based Care. In: Vinson, S., Vinson, E. (eds) Pediatric Mental Health for Primary Care Providers. Springer, Cham. https://doi.org/10.1007/978-3-319-90350-7_8
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DOI: https://doi.org/10.1007/978-3-319-90350-7_8
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